Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 717500 | TX |
NPI | 1003198284 |
---|---|
Provider Name | Esther Wangari Mungai |
First Address | Carrollton, TX 75010-6539 |
Second Address | Carrollton, TX 75010-6539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2011 |
Last Update Date | 17/03/2018 |